In very rare cases, however, PDE5 medications may cause side effects that would require swift medical attention.
In very rare cases, however, PDE5 medications may cause side effects that would require swift medical attention. If you experience any of the following side effects, you should seek medical attention immediately: Like all versions of these PDE5 inhibitors (branded, generic, or compounded), BlueChew medications are supposed to enable a healthy erection that endures during arousal and then subsides. But in very rare situations, the medications may cause an erection that lasts longer than four hours, a condition known as priapism.6 Priapism is a dangerous situation that can permanently damage the tissues of the penis if unaddressed, so it’s very important to seek medical attention. This is a separate phenomenon from the potentially bothersome yet mild visual side effects mentioned earlier (like changes in color perception). Rarely, a person using PDE5 medications may experience a sudden loss of vision due to a condition called non-arteritic anterior ischemic optic neuropathy (NAION).16 This can happen in just one eye or in both eyes.
While more research is needed, sudden sensorineural hearing loss (SSNHL) is another rare but serious side effect that may apparently occur from using PDE5 medications.17 The degree of hearing loss could vary from minor to severe, could occur in one or both ears, and could be accompanied by tinnitus (ringing in the ear). Some research suggests that full or partial recovery of hearing is possible afterward, either spontaneously or through treatment, but in some cases, hearing never returns to normal. And while this side effect is rare, sildenafil may put you at higher risk of it than the other ED medications.17 It remains unclear why SSNHL would occur from using a PDE5 medication. Again, these side effects are rare, thankfully. At the time of a particular review of literature in 2008 — a decade after Viagra hit the market and a half-decade since Cialis and Levitra had entered it — there had been only one documented case of priapism caused by tadalafil and only a few documented cases caused by sildenafil; there was just as much evidence of this class of drugs alleviating recurrent priapism as there was evidence of the drugs causing priapism as a side effect.18 And in the case of hearing loss, more research is certainly needed; a review of the literature published in 2019 concluded that research up to that time was inconclusive, with some data suggesting risk and other data suggesting that PDE5s were actually otoprotective (protective of hearing) rather than somehow ototoxic.36 You’re far likelier to experience bothersome side effects than dangerous ones. If you experience any of the following side effects, you should seek medical attention immediately: Like all versions of these PDE5 inhibitors (branded, generic, or compounded), BlueChew medications are supposed to enable a healthy erection that endures during arousal and then subsides. But in very rare situations, the medications may cause an erection that lasts longer than four hours, a condition known as priapism.6 Priapism is a dangerous situation that can permanently damage the tissues of the penis if unaddressed, so it’s very important to seek medical attention. This is a separate phenomenon from the potentially bothersome yet mild visual side effects mentioned earlier (like changes in color perception). Rarely, a person using PDE5 medications may experience a sudden loss of vision due to a condition called non-arteritic anterior ischemic optic neuropathy (NAION).16 This can happen in just one eye or in both eyes.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Viagra Generic | 25mg | 180 + 6 Pills | 154.93€ 147.55€ | |
| Viagra Generic | 150mg | 180 + 10 Pills | 236.46€ 225.20€ | |
| Kamagra Soft Tabs | 100mg | 272 + 12 Pills | 593.42€ 565.16€ | |
| Viagra Generic | 200mg | 120 + 8 Pills | 204.80€ 195.05€ | |
| Kamagra Polo | 100mg | 272 + 12 Pills | 622.94€ 593.28€ | |
| Viagra Generic | 100mg | 120 + 6 Pills | 149.50€ 142.38€ | |
| Kamagra Oral Jelly | 100mg | 30 + 5 Sachets | 136.20€ 129.71€ | |
| Viagra Generic | 25mg | 60 + 4 Pills | 71.99€ 68.56€ | |
| Viagra Generic | 150mg | 120 + 8 Pills | 177.58€ 169.12€ | |
| Viagra Generic | 50mg | 10 Pills | 26.87€ 25.59€ | |
| Viagra Generic | 50mg | 60 + 4 Pills | 83.93€ 79.93€ | |
| Kamagra | 100mg | 120 + 6 Pills | 330.74€ 314.99€ | |
| Viagra Generic | 50mg | 270 + 8 Pills | 198.48€ 189.03€ | |
| Viagra Generic | 25mg | 270 + 8 Pills | 184.26€ 175.49€ | |
| Viagra Generic | 100mg | 270 + 10 Pills | 270.47€ 257.59€ |
While more research is needed, sudden sensorineural hearing loss (SSNHL) is another rare but serious side effect that may apparently occur from using PDE5 medications.17 The degree of hearing loss could vary from minor to severe, could occur in one or both ears, and could be accompanied by tinnitus (ringing in the ear). Some research suggests that full or partial recovery of hearing is possible afterward, either spontaneously or through treatment, but in some cases, hearing never returns to normal. And while this side effect is rare, sildenafil may put you at higher risk of it than the other ED medications.17 It remains unclear why SSNHL would occur from using a PDE5 medication. Again, these side effects are rare, thankfully. At the time of a particular review of literature in 2008 — a decade after Viagra hit the market and a half-decade since Cialis and Levitra had entered it — there had been only one documented case of priapism caused by tadalafil and only a few documented cases caused by sildenafil; there was just as much evidence of this class of drugs alleviating recurrent priapism as there was evidence of the drugs causing priapism as a side effect.18 And in the case of hearing loss, more research is certainly needed; a review of the literature published in 2019 concluded that research up to that time was inconclusive, with some data suggesting risk and other data suggesting that PDE5s were actually otoprotective (protective of hearing) rather than somehow ototoxic.36 You’re far likelier to experience bothersome side effects than dangerous ones. And if you do encounter common side effects that rise to a level of severity or frequency that bothers you, talk to your sildenafil citrate 120 mg prescribing medical professional. If you work with BlueChew, you’d want to share your negative experience through their patient portal so that the medical professionals can reassess your dosage or medication and potentially propose an alternative treatment path that wouldn’t cause those unpleasant side effects. BlueChew’s medications are available only via prescription by one of BlueChew’s affiliated medical professionals.
And if you do encounter common side effects that rise to a level of severity or frequency that bothers you, talk to your sildenafil citrate 120 mg prescribing medical professional. If you work with BlueChew, you’d want to share your negative experience through their patient portal so that the medical professionals can reassess your dosage or medication and potentially propose an alternative treatment path that wouldn’t cause those unpleasant side effects. BlueChew’s medications are available only via prescription by one of BlueChew’s affiliated medical professionals. If you take certain medications already or have underlying cardiovascular conditions, prescription ED medications can be downright dangerous to you. For instance, if you take a nitrate-containing medication (like nitroglycerin), that is a contraindication to using PDE5 inhibitors like sildenafil, tadalafil, and vardenafil.
Using both can cause possibly deadly low blood pressure (hypotension).35 If you have preexisting hypotension or take medications like alpha-blockers to treat high blood pressure, the prescribing doctor would need to decide whether it’s safe for you to take PDE5 inhibitors. Doing so may also cause dangerously low blood pressure, symptoms of which can include: But hypotension doesn't always cause noticeable symptoms, despite the risks to your health. Those with chronic kidney disease may not be suitable candidates for prescription ED medication, though the prescribing medical professional will be able to determine whether your circumstances contraindicate using them. All of this underscores the importance of being thorough in your description of medications and existing health conditions when you consult with the doctor — something perhaps even more important in an online consultation scenario. Prescribing medical professionals will be able to determine whether you’re a safe candidate for the treatments that BlueChew offers, but only if they have enough information about your underlying health and current use of medications. If you take certain medications already or have underlying cardiovascular conditions, prescription ED medications can be downright dangerous to you. For instance, if you take a nitrate-containing medication (like nitroglycerin), that is a contraindication to using PDE5 inhibitors like sildenafil, tadalafil, and vardenafil. Using both can cause possibly deadly low blood pressure (hypotension).35 If you have preexisting hypotension or take medications like alpha-blockers to treat high blood pressure, the prescribing doctor would need to decide whether it’s safe for you to take PDE5 inhibitors. Doing so may also cause dangerously low blood pressure, symptoms of which can include: But hypotension doesn't always cause noticeable symptoms, despite the risks to your health.
Those with chronic kidney disease may not be suitable candidates for prescription ED medication, though the prescribing medical professional will be able to determine whether your circumstances contraindicate using them. All of this underscores the importance of being thorough in your description of medications and existing health conditions when you consult with the doctor — something perhaps even more important in an online consultation scenario. Prescribing medical professionals will be able to determine whether you’re a safe candidate for the treatments that BlueChew offers, but only if they have enough information about your underlying health and current use of medications.
Taking a look at other online competitors like Hims and Roman, for instance, your lowest-dose options will be tablets (not chews) from those companies. Roman’s generic sildenafil doses start at 25mg, but Hims sildenafil doses start at 20mg and increase in 20mg increments up to 100mg. With branded Viagra, Hims and Roman tablets both start at 25mg. The lowest doses of any of those tablet options could make your chances of side effects potentially even lower, but if you want a chewable medication that doesn’t require a handy glass of water, those other two companies only offer more aggressive multi-medication treatments involving higher doses of sildenafil with robust dosages of tadalafil. BlueChew’s lowest-dose chewables are inherently less likely to cause side effects than the multi-medication chewables of those companies.
The risk of side effects posed by BlueChew tadalafil, relative to other tadalafil options, depends on the form you want (compounded chewable vs. tablet you sildenafil otc swallow) and the type of prescription you want (as-needed vs. daily). Cialis for daily use commonly comes in tablets of 2.5mg or 5mg, while as-needed tablets range from 5mg to 20mg. BlueChew’s as-needed tadalafil, by contrast, comes in either 6mg or 9mg chews — considerably lower than many typical as-needed Cialis prescriptions would be. Your likelihood of experiencing side effects may be higher or lower depending on differences in the dosage of the active ingredients. Studies examining the effectiveness and safety of tadalafil, sildenafil, and vardenafil at different dosages reveal that side effects are more common at higher doses.3 Though studies are slightly mixed in terms of the linear effect of dosage on the likelihood of experiencing side effects, in one study, the group of participants taking 5mg of daily tadalafil experienced back pain more often than the group taking 2.5mg of daily tadalafil.19 Another study comparing 5mg and 10mg daily dosage efficacy and tolerance revealed that the 10mg/day test group experienced side effects at a higher rate than the 5mg/day group.24 Research suggests that the likelihood of experiencing side effects increases as dosage increases.22 For instance, a study of 256 sildenafil users at three different strengths (50mg, 100mg, 150mg) found that the incidence of side effects increased at each dosage level.20 Specifically, 20% experienced a side effect at 50mg, while 36% and 63% experienced one at 100mg and 150mg, respectively. Clinical trials in which participants used doses of vardenafil ranging from 5mg to 40mg showed that side sildenafil 130mg effect prevalence was dose-dependent.25 Given that dosage appears to play a direct role in the likelihood of side effects — with higher doses increasing the chances of side effects — what does this mean for BlueChew side effects in particular? Here’s a quick comparison of BlueChew’s dosages and those of its competitors.
And note: competitors Hims and Roman both offer brand-name Viagra and Cialis in addition to the compounded versions whose doses you’ll find in the chart below. 8.5mg or 11.2mg for either How could this factor into your decision-making and comfort levels when it comes to risk of side effects? Let’s break it down further by medication.
With a strength of 30mg or 45mg, BlueChew’s compounded sildenafil could be a solid choice if you’re hoping to start at a relatively modest strength and minimize your risk of side effects. Branded Viagra dosage comes in 25mg increments (e.g., 25mg, 50mg, 100mg), with many doctors starting patients at 50mg.
It’s still a safer choice than Hims vardenafil, though, which starts at 11.2mg and also has no lower available strength.
If the 30mg BlueChew sildenafil works for you, then you may keep your likelihood of experiencing side effects close to a minimum from day one. Taking a look at other online competitors like Hims and Roman, for instance, your lowest-dose options will be tablets (not chews) from those companies. Roman’s generic sildenafil doses start at 25mg, but Hims sildenafil doses start at 20mg and increase in 20mg increments up to 100mg. With branded Viagra, Hims and Roman tablets both start at 25mg. The lowest doses of any of those tablet options could make your chances of side effects potentially even lower, but if you want a chewable medication that doesn’t require a handy glass of water, those other two companies only offer more aggressive multi-medication treatments involving higher doses of sildenafil with robust dosages of tadalafil.
| Topic | Key Message | Additional Tips |
|---|---|---|
| How to take the tablet | Chew thoroughly before swallowing, as directed | Take with or without food |
| When to expect effect | Usually 15-30 minutes after ingestion | Avoid heavy meals close to dosing |
| Alcohol consumption | Can reduce effectiveness, avoid excessive drinking | Limit alcohol intake during treatment |
| Contraindications | Do not use with nitrates, consult doctor if unsure | Review all medications with clinician |
| Recognizing adverse effects | Contact healthcare provider if serious side effects occur | Be aware of signs of side effects |
BlueChew’s lowest-dose chewables are inherently less likely to cause side effects than the multi-medication chewables of those companies. The risk of side effects posed by BlueChew tadalafil, relative to other tadalafil options, depends on the form you want (compounded chewable vs. tablet you sildenafil otc swallow) and the type of prescription you want (as-needed vs. daily). Cialis for daily use commonly comes in tablets of 2.5mg or 5mg, while as-needed tablets range from 5mg to 20mg. BlueChew’s as-needed tadalafil, by contrast, comes in either 6mg or 9mg chews — considerably lower than many typical as-needed Cialis prescriptions would be. If one of BlueChew’s doses works for you, research suggests that it would generally carry a lower risk of experiencing side effects compared to those common, higher doses. Meanwhile, Hims’ as-needed tadalafil chews are stronger than BlueChew’s, at 11.2mg. But its as-needed tablets, available as low as 5mg/dose, could be even better for avoiding side effects. In contrast with its as-needed doses, BlueChew’s daily tadalafil is stronger than many daily Cialis dosages, at 9mg per day.
| Brand Name | Manufacturer | Price Range (per pack) | Formulation Notes |
|---|---|---|---|
| Sildenafil ChewPro | PharmaHealth Ltd. | $20 - $35 | Pack of 10 chewable tablets |
| ChewSildenafil | MedCorp Inc. | $15 - $25 | Sugar-free variant |
| EasySild | PharmaPlus | $25 - $40 | Flavored, strawberry |
| QuickErections | HealthyPharma | $18 - $30 | Fast onset, 15-minute effect |
That’s the only strength available from BlueChew at this time, and its stronger dose means you may have a higher chance of experiencing tadalafil’s side effects with daily BlueChew than you would with a daily prescription of the medication elsewhere.
Hims offers daily tadalafil at 2.5mg or 5mg strengths in tablet form, which are very commonly prescribed strengths. And both Hims and Roman have slightly weaker daily tadalafil chewables than BlueChew, at 8.5mg and 7mg, respectively.
Your likelihood of experiencing side effects may be higher or lower depending on differences in the dosage of the active ingredients. Studies examining the effectiveness and safety of tadalafil, sildenafil, and vardenafil at different dosages reveal that side effects are more common at higher doses.3 Though studies are slightly mixed in terms of the linear effect of dosage on the likelihood of experiencing side effects, in one study, the group of participants taking 5mg of daily tadalafil experienced back pain more often than the group taking 2.5mg of daily tadalafil.19 Another study comparing 5mg and 10mg daily dosage efficacy and tolerance revealed that the 10mg/day test group experienced side effects at a higher rate than the 5mg/day group.24 Research suggests that the likelihood of experiencing side effects increases as dosage increases.22 For instance, a study of 256 sildenafil users at three different strengths (50mg, 100mg, 150mg) found that the incidence of side effects increased at each dosage level.20 Specifically, 20% experienced a side effect at 50mg, while 36% and 63% experienced one at 100mg and 150mg, respectively. Clinical trials in which participants used doses of vardenafil ranging from 5mg to 40mg showed that side sildenafil 130mg effect prevalence was dose-dependent.25 Given that dosage appears to play a direct role in the likelihood of side effects — with higher doses increasing the chances of side effects — what does this mean for BlueChew side effects in particular? Here’s a quick comparison of BlueChew’s dosages and those of its competitors. And note: competitors Hims and Roman both offer brand-name Viagra and Cialis in addition to the compounded versions whose doses you’ll find in the chart below.
8.5mg or 11.2mg for either How could this factor into your decision-making and comfort levels when it comes to risk of side effects? Let’s break it down further by medication. With a strength of 30mg or 45mg, BlueChew’s compounded sildenafil could be a solid choice if you’re hoping to start at a relatively modest strength and minimize your risk of side effects. Branded Viagra dosage comes in 25mg increments (e.g., 25mg, 50mg, 100mg), with many doctors starting patients at 50mg. If the 30mg BlueChew sildenafil works for you, then you may keep your likelihood of experiencing side effects close to a minimum from day one. For compounded vardenafil delivered to your door, BlueChew’s dosage at this time makes it a good choice to keep your risk of side effects at a minimum.
If one of BlueChew’s doses works for you, research suggests that it would generally carry a lower risk of experiencing side effects compared to those common, higher doses. Meanwhile, Hims’ as-needed tadalafil chews are stronger than BlueChew’s, at 11.2mg. But its as-needed tablets, available as low as 5mg/dose, could be even better for avoiding side effects. In contrast with its as-needed doses, BlueChew’s daily tadalafil is stronger than many daily Cialis dosages, at 9mg per day. That’s the only strength available from BlueChew at this time, and its stronger dose means you may have a higher chance of experiencing tadalafil’s side effects with daily BlueChew than you would with a daily prescription of the medication elsewhere.
Hims offers daily tadalafil at 2.5mg or 5mg strengths in tablet form, which are very commonly prescribed strengths. And both Hims and Roman have slightly weaker daily tadalafil chewables than BlueChew, at 8.5mg and 7mg, respectively. For compounded vardenafil delivered to your door, BlueChew’s dosage at this time makes it a good choice to keep your risk of side effects at a minimum. Doctors commonly start patients at 10mg of vardenafil and then adjust up to 20mg or reduce to 5mg depending on effectiveness or adverse effects.21 At 8mg, BlueChew’s vardenafil strength would, if anything, pose less risk of side effects than the common 10mg starting dose. However, since there’s no other strength available at BlueChew, you’d need to seek a lower strength elsewhere if you do experience unacceptable side effects from BlueChew vardenafil. Doctors commonly start patients at 10mg of vardenafil and then adjust up to 20mg or reduce to 5mg depending on effectiveness or adverse effects.21 At 8mg, BlueChew’s vardenafil strength would, if anything, pose less risk of side effects than the common 10mg starting dose. However, since there’s no other strength available at BlueChew, you’d need to seek a lower strength elsewhere if you do experience unacceptable side effects from BlueChew vardenafil. It’s still a safer choice than Hims vardenafil, though, which starts at 11.2mg and also has no lower available strength.